Lisa Shannon Girdaukas
NPI #1598808792 in Countryside, Illinois
Provider Information
- NPI Number
- 1598808792
- Entity Type
- Individual
- Name
- Lisa Shannon Girdaukas
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist
- Enumeration Date
- Feb 15, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 9679 W 55TH ST
- City
- Countryside
- State
- Illinois
- ZIP Code
- 60525
- Phone
- (708) 352-3580
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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Organizations
| Provider Name | |
|---|---|
| Countryside Medical Sc | AI Deep Dive |
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